Provider Demographics
NPI:1447566922
Name:HIXSON CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:HIXSON CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:GAY
Authorized Official - Last Name:DEBTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:423-227-8831
Mailing Address - Street 1:5407 HIXSON PIKE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-4559
Mailing Address - Country:US
Mailing Address - Phone:423-710-1913
Mailing Address - Fax:423-710-1914
Practice Address - Street 1:5407 HIXSON PIKE
Practice Address - Street 2:SUITE 101
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4559
Practice Address - Country:US
Practice Address - Phone:423-710-1913
Practice Address - Fax:423-710-1914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty